All language subtitles for Real Doctor Reacts t-0223131418

Good hand washing technique. Could be a surgeon. I don't know yet.

Oh, oh, oh.

Well calling for help is the right thing. That's the first thing you want to do in these types of situations.

He's a specialist.

His jugular vein has been cut.

Does anyone have a clean cloth?

How does he know it's the jugular vein? That's pretty impressive.

That's great.

Putting pressure on a wound like this is the first thing you need to do outside of obviously calling for help.

Anything you can do to stop the bleeding, put pressure on the site is important in order to help that person survive.

You're killing him.

I'm saving his life. He was bleeding out.

You have it in the wrong place.

I think I remember enough of anatomy 101 to know what the jugular vein is.

You would be in the right place if you were an adult. He's not an adult. He is a boy, which means you're also putting pressure on his trachea, which means he's not currently breathing.

I can't really see where his hands are, but it's good advice.

Don't take it out.

Some glass.

Don't take it out.

He'll be fine.

Yeah.

Who are you?

Hello. I'm Dr. Sean Murphy. I'm a surgical resident at San Jose St. Bonaventure Hospital.

Well, hello, Dr. Sean. Nice to meet you.

By the way, just so you know, if you have an object inserted into you, object, I know that sounds kind of weird.

If you get stabbed with a knife, if some glass goes inside of you, if a nail goes inside of you, never pull it out.

Okay.

Never pull it out.

Make sure you call 911. Let the paramedics decide what to do.

Let them take you to the nearest hospital because a lot of times what that object is doing is preventing you from bleeding out because it's putting pressure on the spot where the artery or vein was cut.

A special meeting of the board of directors, as much as I love you all, questioning one of my hiring decisions.

Did you bother to look up the definition of president while you were skimming the dictionary?

You're hiring him to be a surgical resident.

My department.

My department over my objections.

The bureaucracy that you're seeing here is real.

There are board members.

There's presidents.

There's employees.

There's trust funds.

So these things exist.

They put a lot of pressure on doctors and presidents to make certain decisions.

Yes, he has autism, but he also has savant syndrome, genius level skills in several areas.

He has almost perfect recall.

He has spatial intelligence.

And he sees things and analyzes things in ways that are not.

He sees things in ways that are just remarkable in ways that we can't even begin to understand.

Those are assets, undeniable assets for any doctor, particularly a surgeon.

I'm not going to lie.

I agree with the president on that.

As a surgeon, it's more important to have very good spatial ability to be able to have perfect recall, to understand the anatomy perfectly.

Then it probably is to explain the complexity of a specific case and be able to communicate well with people.

Most of the time.

When you're a surgeon, your patient is not awake.

That being said, I think it is still important for surgeons to be able to improve their communication skills, to be able to talk to patients, help them understand the risks and benefits of operations and make sure that they don't force patients to go into the knife when they don't have to.

You seen her?

No.

Now go away and turn off the light.

Sure.

Ooh.

Resident beef.

Resident beef.

Oh.

I need you to.

I heard.

And here I thought this was going to be an all medical show.

No Grey's Anatomy drama.

At least where I practice medicine, there's different on-call rooms for males and females.

There are times where one of the call rooms may be unavailable and you do have to have a male and a female sleeping in a room together.

Usually it's not a problem, but this is unprofessional folks.

It's going to lead to drama.

Lots of drama.

We don't have a relationship.

We have sex.

But.

You have a sexual relationship.

I wish I had vision like that.

That's impressive.

Venous distension is caused by increased intrathoracic pressure inside the chest cavity.

He's basically saying the veins in the arms are swollen, so he thinks there's some extra

pressure going on inside the chest cavity.

Can be because of cardiac tamponade.

Which means that there's blood usually in a traumatic sense like this inside the pericardial tissue, which is the lining of the heart.

And there could be blood in there and it makes the heart unable to beat properly.

The veins in the boy's left arm are popping.

Is that bad?

I don't see.

Intrathoracic pressure.

No, his chest is rising.

He's breathing.

The chest is moving paradoxically.

Paradoxical chest movement is a consequence of something known as flail chest.

If you get a trauma where a section of your ribs break from the rest of the ribs, that part of the rib cage doesn't move normally when you take a deep breath in and deep breath out.

So the chest sort of moves paradoxically.

That's what he's talking about.

What happens during a pneumothorax?

One of the lungs collapses or sometimes both of the lungs collapse and you can't oxygenate that area.

Meaning that when you breathe, no oxygen goes to that area.

It causes increased pressure.

The life saving treatment for that is.

The life saving treatment for this is to literally insert a needle in order to release some of that pressure.

Who here has a sharp knife?

Oh.

Blade five inches or longer?

No body?

Is he going to go into the second or fourth intercostal space?

Can't be back here.

Oh, I need a knife.

He's going to TSA.

A knife?

Sure.

Anything else?

I do also need a narrow six foot tube and high proof alcohol and go to the bathroom.

Okay.

I need a high proof alcohol and gloves and baggage handling tape.

But I'm going to get the alcohol from the duty free store and the tube from the back of the soda machine.

He's going to put a chest tube for a traumatic pneumothorax.

Looks like he's going to a party with all that Jim Beam.

He reminds me of Zac Efron a little bit.

I know it's a weird thought to have in the middle of this medical emergency, but I don't know.

I always found that blowing to the glove thing really obnoxious.

How much bacteria do you have in your mouth?

Probably even more than your fingers.

You're blowing inside the glove, but you're getting some of that bacteria on the outside of the glove that you want clean or relatively clean when you're going to go insert a chest tube into a young boy.

He's going to clean his hands with a Jim Beam, but that's not perfect.

Incision should take place two ribs down.

Second intercostal space, my man.

He's actually following proper technique because you want to stay in the mid axillary line, meaning in the middle of your armpit.

That way you have a lower probability of hitting the heart when you go in with the scalpel or whatever you're going in with.

Okay, well, why the bottom?

The air will continue to leak and accumulate until the damage can be properly repaired.

The tube allows the air to get out.

The water in the bottle stops the air from coming back in.

I'll make one of my valves.

He's breathing.

You saved his life.

He saved his life.

Attention pneumothorax.

You can literally put a needle in that can release some air, and that equilibrium does enough of a job.

You didn't need all of this fancy technology here.

I need to get to San Jose St. Bonaventure Hospital.

That's where we're going.

Good.

One of the classic signs that someone has autism or may have autism is they don't make great eye contact.

They're not great at picking up social cues.

If you find out that your child has autism, you can start them in these early intervention programs where they teach them how to mimic some of these social cues where they're not looking to make eye contact with you like we do normally because we have good physical recognition and body language recognition.

But they do so because they're trained to do so, to make conversations seem more normal.

Early intervention has shown some very promising results for those with autism.

We'll find another school.

No, we won't because nothing's going to change.

They can't handle him.

I don't blame them because obviously we can't handle him either.

What the hell happened this time?

What happened?

You're hurting him.

What did you do?

Those who have autism and grow up with pets actually have better results moving forward in terms of communication, in terms of interpersonal ability.

So if your child does have autism,

you can start them.

Getting them a pet early on definitely serves a benefit.

It changed.

The Boise CG changed.

It's the same.

86 BPM.

No, it used to be higher.

No, it used to be 86.

It's still 86.

It used to come up to here.

That's not the right way to do it.

You have to be seated.

You have to have calipers.

You have to be looking at the strip and comparing the little boxes on the screen.

Maybe this guy, he has superhuman powers.

It's possible.

But in reality, you need to be a lot more careful because this isn't just a game.

It's people's lives at risk.

Eight-year-old healthy boy.

Status post encounter with a shatterglass sign.

Numerous lacerations.

Echo.

Get him set up in trauma three with an EKG, full blood work and a pan scan.

So far, very accurate.

I'm very impressed.

The way that the paramedic told the history, very, very accurate.

Adam needs an echocardiogram.

No, behave yourself or you'll be removed from the building.

What?

What?

What?

What?

What?

What?

What?

What?

What?

What?

I don't know what to make of this guy.

I like him because he's superhuman and knows everything,

but it's just so unrealistic.

It's crazy.

Is this the same security guard who knows everywhere he's going to go?

Maybe this guy is a savant too.

Do an echo.

He said the boy is wide open.

It's going to take a while.

Good.

That'll give me time to figure out why the hell we're doing an echo.

Dr. Brown, you're with me.

We're going to go find your weird guy.

Keep him stable.

Surgeons just don't go and look for another doctor or someone else on the street

that wanted to give them a recommendation on how to treat this patient.

I noticed that there was a slight reduction in the intensity of the electrocardiogram.

The electrical flow.

I noticed that too.

The heart rate was the same, but the amplitude dropped.

Pericardial effusion.

Reduced cardiac output.

It would stress out the organs.

Causing them to shut down.

Yes.

Just to break that down.

Pericardial effusion.

Peri means surrounding the heart.

The tissue surrounding the heart.

Sometimes there's fluid there.

And when there's fluid there, that makes it difficult for the heart to beat.

And you get cardiac tamponade.

That's what I was talking about earlier.

Again.

Again.

There.

Looks normal to me.

It's not normal.

Four doctors are looking at a scan.

They don't believe there to be an issue.

This guy comes in.

Sees an issue with the scan that no one else sees.

And now all of a sudden they're starting to believe him that maybe it could be that.

If you're looking at the scan, it either is or it isn't.

I don't know what they're debating about the concavity that's open to interpretation.

I've never seen a situation like this.

The YouTube clip already has over 200,000 views.

That's pretty good.

200,000 views.

The more I think about what he did there in the airport.

The more I think it's inappropriate.

There is a good Samaritan law.

That's in place to help with basic emergencies.

Pulling someone out of a burning car.

And in the process you hurt their back.

But you were trying to save them.

But performing an advanced medical procedure.

Like putting in a chest tube.

Especially a makeshift chest tube like that.

Man, unless he saves the boy and it's 100% safe.

There's going to be malpractice and lawyers involved in that case.

So.

The good doctor strikes again.

You saved that boy's life.

Oh, good.

His name is Adam.

Traumatic pneumothorax.

I'm hungry.

Sean.

Dr. Melendez's team is going into surgery.

I mean, if you're interested.

I mean, how about getting him to sign all the paperwork and disclosures and HIPAA forms and making sure he has

identified the doctor.

I mean, how about getting him to sign all the paperwork and disclosures and HIPAA forms and making sure he has identified the doctor.

Put your mask on.

Put your mask on, Sean.

I saw a lot of surgeons in medical school.

You're much better than them.

I have a lot to learn from you.

You're very arrogant.

Matter of fact.

Do you think that helps you be a good surgeon?

Does it hurt you as a person?

Is it worth it?

Is it worth it?

And there you have it.

First episode of The Good Doctor.

Things I definitely enjoyed about the show.

Number one, it's fairly medically accurate.

The drama in the show is interesting.

It kept my attention and I wanted to see more what would happen.

I really dig the fact that it gave an inside look into how hard.

Living with autism can be, you know, you can have abusive family.

You have bullying that's happening.

Dealing with autism is a difficult situation.

And I appreciate that the show highlights that.

I will say, however, that they almost make him look superhuman and that's not realistic.

So that's definitely a con in my book.

But I understand that it needs to, they need that factor to make the show work.

There wasn't that much medical stuff to comment on.

It was a lot about developing him as a character.

If you know a better episode where there were more medical situations.

If you know a better episode where there were more medical situations.

That I can comment on, let me know in the comments.

If there's another show you want me to watch, please leave it down below in the comments.

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As always, stay happy and healthy.